COORDINATED HEALTH OF CA III, LLC (NPI# 1578071924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578071924 |
| Entity Type | Organization |
| Organization Name | COORDINATED HEALTH OF CA III, LLC |
| Other Organization Name | CARDIAC CIN OF ORANGE COUNTY LLC |
| Practice Address |
2372c Morse Ave Irvine CA 92614-6234 |
| Mailing Address |
102 Woodmont Blvd Ste 350 Nashville TN 37205-2216 |
| Practice Telephone | 6153860064 |
| Practice Fax Number | 6153860067 |
| Mailing Telephone | 6153860064 |
| Mailing Fax Number | 6153860067 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | EDWARD LELAND HUTTON EADIE (DIRECTOR) |
| Authorized Official Telephone | 6157332064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
CA | Allopathic & Osteopathic Physicians | |
| Y | 207X00000X | Orthopaedic Surgery | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cardiac CIN of Orange County LLC | Former Legal Business Name - Organization |
| Street Address |
2372C MORSE AVE |
| City | IRVINE |
| State | CA |
| Zip Code | 92614-6234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1245843572 | Jose Raul Sanchez IIi | Behavior Technician | 1063 Mcgraw Ave, Irvine, CA 92614 | 2020-08-26 |
| 1548871064 | Angelina Renee Armenta | Behavior Technician | 1063 Mcgraw Avenue, Suite 100, Irvine, CA 92614 | 2020-08-10 |
| 1083267827 | Jd Health LLC | Durable Medical Equipment & Medical Supplies | 18003 Sky Park Circle, Suite B-c, Irvine, CA 92614 | 2019-07-22 |
| 1326609280 | Abigail Briana Lozano-flores | Behavior Technician | 18008 Sky Park Circle, Suite 110, Irvine, CA 92614 | 2019-06-21 |
| 1770085235 | Heather M. Ayala | Dietitian, Registered | 17985 Sky Park Circle Suite A, Irvine, CA 92614 | 2018-03-01 |
| 1598266033 | Camille Plumbar | Chiropractor | 17811 Skypark Circle, Suite E, Irvine, CA 92614 | 2018-02-21 |
| 1952812448 | Mary M Ahmadian | Nurse Practitioner | Global Transitional Care Suite 100, 2 Executive Circle, Irvine, CA 92614 | 2017-10-24 |
| 1134656804 | Reza Abaei Tafreshi | Dentist | 3 Pazzi, Irvine, CA 92614 | 2017-05-12 |
| 1467991307 | Laboratory Medicine Consultants In Diagnostics | Medical Genetics | 1565 A Mcgaw Ave, Irvine, CA 92614 | 2017-02-13 |
| Find all providers in zip 92614 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396752432 | Floyd Gilbert Shon | Orthopaedic Surgery | 33 Creek Road, Ste 130, Irvine, CA 92604 | 2006-08-02 |
| 1194787275 | Nimish Raj Kadakia | Orthopaedic Surgery | 22 Odyssey Ste 205, Irvine, CA 92618-3197 | 2006-04-04 |
| 1598234452 | Derrick Stephan, Pa-c Inc. | Orthopaedic Surgery | 229 Rhythm, Irvine, CA 92603-4254 | 2018-11-20 |
| 1649782715 | Floyd G Shon Md Inc | Orthopaedic Surgery | 33 Creek Road, Ste 130, Irvine, CA 92604 | 2017-10-30 |
| 1437669470 | Waterworks Surgery Center, LLC | Orthopaedic Surgery | 113 Waterworks Way Ste 225, Irvine, CA 92618-3175 | 2017-10-04 |
| 1356748602 | Robert A Baird Md Incorporated | Orthopaedic Surgery | 16300 Sand Canyon Ave, Suite 511, Irvine, CA 92618-3711 | 2014-12-02 |
| 1487098984 | Matthew David Souster | Orthopaedic Surgery | 6670 Alton Parkway, Irvine, CA 92618 | 2013-04-26 |
| 1487944773 | Luke William Bulthuis | Orthopaedic Surgery | 6670 Alton Pkwy, Mob 1, Irvine, CA 92618-3734 | 2011-04-08 |
| 1609902386 | Megan Hanako Murai Kuba | Orthopaedic Surgery | 6640 Alton Pkwy, Irvine, CA 92618 | 2007-02-26 |
| 1831263508 | Thomas J Meyer | Orthopaedic Surgery | 2415 Campus Dr, Suite 110, Irvine, CA 92612-1527 | 2006-11-17 |
| Find all providers in IRVINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.